The Department of Health and Human Services and The Department of Justice Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2012 Approximately 82.1% of large health plans (>500) are self-insured. With possibly more than $19 billion in anti-fraud and overpayment recovery by TPAs from healthcare providers in the private sector, how more »

On March 1, 2013, the Department of Labor (DOL) released new and detailed PPACA self-compliance guidance for full implementation of PPACA Coverage and Claims Appeals Regulations, also known as the Provider Bill Of Rights. Healthcare Providers as well as Health Plans are urged to comply with PPACA in accordance with DOL’s Self Compliance Guidance, the more »